Carbon-coated stents in patients with acute coronary syndromes.

Abstract:

BACKGROUND:For patients with ST elevation myocardial infarction (STEMI) or non-ST elevation myocardial infarction (NSTEMI), rapid restoration of coronary blood flow is the primary therapeutic goal. Because of the acute nature of this clinical presentation, bleeding risks may not be adequately evaluated, limiting the use of drug-eluting stents, since premature discontinuation of antiplatelet therapy strongly predicts stent thrombosis. We evaluated angiographic and clinical results of non-drug-eluting carbon-coated stents. METHODS:In this prospective observational study, angiographic and clinical 6-mo results of a carbon-coated stent for treatment of acute lesions in native coronary arteries were evaluated. Angiographic main outcome measures included in-stent late loss and binary restenosis rate. Major adverse cardiac events (MACEs) were defined as any death, Q-wave myocardial infarction (MI), and target lesion revascularization. RESULTS:We included 320 patients with STEMI (n = 205) or NSTEMI (n = 115) with 360 lesions. Reference vessel diameter was 2.93 +/- 0.53 mm and stented length 22.7 +/- 13.8 mm. Angiographic follow-up was available in 220 of 360 lesions (61%). In-stent late loss was 0.69 +/- 0.75 mm, with a binary restenosis rate of 19.1%. For the total segment late loss was 0.74 +/- 0.77 mm and binary restenosis rate 21.4%. Clinical follow-up for 97.4% of discharged patients was available. Hierarchical MACEs were death in 14 patients (4.4%), Q-wave MI in 3 patients (0.9%), and target lesion revascularization in 39 patients (12.2%). CONCLUSION:In this prospective, observational study, the use of a carbon-coated stent for treatment of lesions in patients with STEMI or NSTEMI was associated with a low late loss, translating into a low binary angiographic restenosis rate within a 6-mo follow-up.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Wöhrle J,Nusser T,Langenwalder S,Heombach V,Kochs M

doi

10.1002/clc.20295

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

E1-6

issue

6

eissn

0160-9289

issn

1932-8737

journal_volume

32

pub_type

杂志文章
  • Relationship between cardiovascular disease knowledge and race/ethnicity, education, and weight status.

    abstract:BACKGROUND:Inadequate cardiovascular disease (CVD) knowledge has been cited to account for the imperfect decline in CVD among women over the last 2 decades. HYPOTHESIS:Due to concerns that at-risk women might not know the leading cause of death or symptoms of a heart attack, our goal was to assess the relationship bet...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20992

    authors: Giardina EG,Mull L,Sciacca RR,Akabas S,Flink LE,Moise N,Paul TK,Dumas NE,Bier ML,Mattina D

    更新日期:2012-01-01 00:00:00

  • Effect of left ventricular contractile performance on passive left atrial filling--clinical study using radionuclide angiography.

    abstract::Many invasive and noninvasive methods have been used to study the cardiac atria; however, few allow quantitative measurement of atrial function. To determine the interaction between left ventricular (LV) contraction and left atrial (LA) filling, gated radionuclide angiography was conducted in 30 normal subjects (24 me...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960170508

    authors: Fujii K,Ozaki M,Yamagishi T,Ishine K,Furutani Y,Nagano H,Yamamoto K,Saiki A,Matsuzaki M

    更新日期:1994-05-01 00:00:00

  • Angiotensin-II-receptors: new targets for antihypertensive therapy.

    abstract::The renin-angiotensin system regulates blood pressure and sodium homeostasis through a series of coordinated substrate-enzyme interactions. These interactions result in the production of angiotensin II (AII), which exerts a number of diverse biologic effects mediated through AII cell-surface receptors. Dysregulation o...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960200103

    authors: Oliverio MI,Coffman TM

    更新日期:1997-01-01 00:00:00

  • Hyponatremia in acute decompensated heart failure: mechanisms, prognosis, and treatment options.

    abstract::Hyponatremia is common and is increasingly recognized as an independent prognostic marker that adversely affects morbidity and mortality in various disease states, including heart failure. In acute decompensated heart failure (ADHF), the degree of hyponatremia often parallels the severity of cardiac dysfunction and is...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.20822

    authors: Jao GT,Chiong JR

    更新日期:2010-11-01 00:00:00

  • A comparative study of eccentric and concentric coronary stenosis vasomotion in patients with Prinzmental's variant angina and patients with stable angina pectoris.

    abstract:BACKGROUND AND HYPOTHESIS:In patients with stable angina pectoris, eccentric stenoses have a greater potential for dynamic changes of caliber in response to vasoactive stimuli than concentric lesions. It is not known whether in patients with coronary artery spasm the degree of coronary vasoconstriction differs in eccen...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960210907

    authors: Tousoulis D,Davies G,Kaski JC

    更新日期:1998-09-01 00:00:00

  • Heart Rhythm Society: expert consensus statements-part 1.

    abstract::One of the most important roles for professional societies in medicine is assembling multiple stakeholders and experts to develop documents that can help guide and define policies and strategies for best medical care. Each year the Heart Rhythm Society (HRS) develops several consensus documents that address critical c...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.22666

    authors: Sennhauser S,Anand R,Kusumoto F,Goldschlager N

    更新日期:2017-03-01 00:00:00

  • Thallium-201 single-photon emission computed tomography: quantitative assessment of left ventricular perfusion and structural change in patients with chronic aortic regurgitation.

    abstract:BACKGROUND:Previously, perfusion defect in the left ventricle was detected by thallium-201 (201T1) single-photon emission computed tomography (SPECT) in aortic regurgitation (AR). The significance of 201T1 SPECT, however, has not been clarified. Limited information is available regarding the relationship between functi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960281206

    authors: Yasuda H,Taniguchi K,Takahashi T,Sawa Y,Matuda H

    更新日期:2005-12-01 00:00:00

  • High incidence of ventricular arrhythmias in patients with left ventricular enlargement and moderate left ventricular dysfunction.

    abstract:BACKGROUND:Left ventricular ejection fraction (LVEF) ≤35% is the cutoff value used to identify patients at high risk of sudden cardiac death. However, whether patients who have moderate left ventricular dysfunction and left ventricular enlargement (LVE) have a high risk of ventricular arrhythmias (VAs) and cardiac deat...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22588

    authors: Zhao S,Chen K,Su Y,Hua W,Yang J,Chen S,Liang Z,Xu W,Zhang S

    更新日期:2016-12-01 00:00:00

  • Sustained sex-based treatment differences in acute coronary syndrome care: Insights from the American Heart Association Get With The Guidelines Coronary Artery Disease Registry.

    abstract:BACKGROUND:Sex-based differences in acute coronary syndrome (ACS) mortality may attenuate with age due to better symptom recognition and prompt care. HYPOTHESIS:Age is a modifier of temporal trends in sex-based differences in ACS care. METHODS:Among 104 817 eligible patients with ACS enrolled in the AHA Get With the ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22938

    authors: Udell JA,Fonarow GC,Maddox TM,Cannon CP,Frank Peacock W,Laskey WK,Grau-Sepulveda MV,Smith EE,Hernandez AF,Peterson ED,Bhatt DL,Get With The Guidelines Steering Committee and Investigators.

    更新日期:2018-06-01 00:00:00

  • Cutting balloon coronary angioplasty--initial clinical experience.

    abstract::The success of percutaneous transluminal coronary angioplasty is limited by acute occlusion and late restenosis. In 25 patients (20 men, 5 women, age range 36-81 years) coronary angioplasty was performed using a new cutting balloon into which 3-4 longitudinally orientated blades are incorporated so as to reduce the ra...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960160907

    authors: Unterberg C,Buchwald AB,Barath P,Schmidt T,Kreuzer H,Wiegand V

    更新日期:1993-09-01 00:00:00

  • Effects of acute exercise on hemorheological, endothelial, and platelet markers in patients with chronic heart failure in sinus rhythm.

    abstract:BACKGROUND:Chronic heart failure (CHF) is associated with an increased risk of thrombosis and thromboembolic events, including stroke and venous thromboembolism. which may be related to a prothrombotic or hypercoagulable state. Acute vigorous exercise has been associated with activation of hemostasis, and this risk may...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960241107

    authors: Gibbs CR,Blann AD,Edmunds E,Watson RD,Lip GY

    更新日期:2001-11-01 00:00:00

  • Obesity is an independent risk factor for heart failure: Zona Franca Cohort study.

    abstract:BACKGROUND:Heart failure (HF) is a major problem in developed countries. However, its relationship with obesity remains unclear, especially in low-risk populations. The objective of the study was to analyze the relationship between obesity and HF in a low-risk Mediterranean population. HYPOTHESIS:Obesity is an indepen...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.20837

    authors: Baena-Díez JM,Byram AO,Grau M,Gómez-Fernández C,Vidal-Solsona M,Ledesma-Ulloa G,González-Casafont I,Vasquez-Lazo J,Subirana I,Schroder H

    更新日期:2010-12-01 00:00:00

  • Incidence and Predictors of Left Ventricular Thrombus After Primary Percutaneous Coronary Intervention for Anterior ST-Segment Elevation Myocardial Infarction.

    abstract:BACKGROUND:The role of warfarin in anterior ST-segment elevation myocardial infarction (STEMI) complicated by left ventricular (LV) dysfunction in patients treated with primary percutaneous coronary intervention (PCI) and dual antiplatelet therapy is unclear. Warfarin may prevent cardioembolic events but significantly ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22450

    authors: Driesman A,Hyder O,Lang C,Stockwell P,Poppas A,Abbott JD

    更新日期:2015-10-01 00:00:00

  • Transient left ventricular aneurysm in a patient with hypertrophic cardiomyopathy and myocarditis.

    abstract::Left ventricular wall motion abnormalities, aneurysm formation, and progression to global hypokinesis have been described in patients with myocarditis and in patients with hypertrophic cardiomyopathy. We document a case of reversible aneurysm formation, cardiogenic shock, and complete recovery in a patient with myocar...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960160317

    authors: Fisher DZ,DiSalvo TG,Dec GW,DeSanctis RW

    更新日期:1993-03-01 00:00:00

  • Pre-infarction angina secondary to calcific aortic stenosis with Bernheim's effect.

    abstract::Pre-infarction angina, in the absence of coronary artery disease, was found in a 62 year-old man with severe calcific aortic stenosis. After application of intraaortic balloon pump counter-pulsation, the condition was stabilized, and coronary arteriograms were safely carried out. Interestingly, an elevated right atria...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960010210

    authors: Huang MT,Goodman MA,Delaney TB

    更新日期:1978-08-01 00:00:00

  • Metastatic cardiac malignant fibrous histiocytoma presenting as right ventricular outflow tract obstruction.

    abstract::An unusual case of metastatic disease of the right ventricle is described in a 74-year-old woman who had presented with a malignant fibrous histiocytoma of the right thigh previously treated with surgery and radiotherapy. Two years later she presented with signs and symptoms of tricuspid regurgitation and right ventri...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960140216

    authors: Kamlow FJ,Padaria SF,Wainwright RJ

    更新日期:1991-02-01 00:00:00

  • Takotsubo cardiomyopathy is not due to plaque rupture: an intravascular ultrasound study.

    abstract:BACKGROUND:Plaque rupture with subsequent transient thrombotic coronary occlusion by a fast-dissolving clot is one of the proposed pathogenic mechanisms in Takotsubo cardiomyopathy (TC). HYPOTHESIS:The aim of this study was to seek evidence for the hypothesis of transient coronary thrombosis as the underlying mechanis...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20747

    authors: Haghi D,Roehm S,Hamm K,Harder N,Suselbeck T,Borggrefe M,Papavassiliu T

    更新日期:2010-05-01 00:00:00

  • Oxidized low-density lipoprotein and high-density lipoprotein cholesterol modulate coronary arterial remodeling: an intravascular ultrasound study.

    abstract:BACKGROUND:Oxidized low-density lipoprotein (oxLDL) not only plays an important role in plaque formation, but also impairs the endothelium-dependent relaxation. Constrictive remodeling rather than intimal hyperplasia mainly contributes to restenosis after balloon angioplasty. Probucol (powerful antioxidant) reduced res...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960260107

    authors: Yoneyama S,Arakawa K,Yonemura A,Isoda K,Nakamura H,Ohsuzu F

    更新日期:2003-01-01 00:00:00

  • Determinants and prognostic implications of reperfusion injury during primary percutaneous coronary intervention in Chinese patients with acute myocardial infarction.

    abstract:BACKGROUND:The poor clinical outcome in acute myocardial infarction (AMI) patients undergoing primary percutaneous coronary intervention (PCI) has been attributed to myocardial ischemia-reperfusion injury (MIRI). OBJECTIVE:This study aimed to identify the predictive factors of MIRI during PCI in Chinese AMI patients w...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20294

    authors: Luo Y,Li GL,Pan YZ,Zhou SF

    更新日期:2009-03-01 00:00:00

  • Statins: a brief summary.

    abstract::Despite a totality of evidence indicating clear benefits of statin therapy in secondary and primary prevention of cardiovascular disease (CVD), a large number of additional trials are currently planned or in progress to help us better understand, treat, and prevent CVD. Both monotherapy and combination statin regimens...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960240707

    authors: Pfeffer MA

    更新日期:2001-01-01 00:00:00

  • Preeclampsia and hypertensive disease in pregnancy: their contributions to cardiovascular risk.

    abstract::More women than men die each year of cardiovascular disease, which remains the leading cause of death in the United States. Sex-specific factors, including pregnancy-related disorders, should be considered when assessing cardiovascular (CV) risk in women. Hypertensive disorders of pregnancy have been associated with C...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.21965

    authors: Valdiviezo C,Garovic VD,Ouyang P

    更新日期:2012-03-01 00:00:00

  • Appearance of electrocardiographic initial U-wave inversion dependent on pressure-induced early diastolic impairment in patients with hypertension.

    abstract:BACKGROUND:ECG U-wave inversion can be classified as initial and terminal U inversion according to the phasic relationship to positive U-wave deflection. Initial U inversion is occasionally observed in hypertensive patients while terminal U inversion frequently appears during severe myocardial ischemia. HYPOTHESIS:The...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20487

    authors: Miwa K

    更新日期:2009-10-01 00:00:00

  • Mitral valve prolapse causing severe mitral regurgitation in a patient with absent right pulmonary artery.

    abstract::A 33-year-old man was investigated for dyspnea on exertion and the presence of a pansystolic murmur. Physical examination revealed dextrocardia confirmed by chest radiograph, which also showed oligemic right lung field. Subsequent cardiac catheterization revealed secundum atrial septal defect, persistent left sided su...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960180713

    authors: Yip AS,Chow WH,Lee DF,Cheung KL

    更新日期:1995-07-01 00:00:00

  • Angina induced by excessive bradycardia.

    abstract::Angina pectoris usually occurs in patients with significant coronary artery disease during periods of increased coronary demand such as increased heart rate. Bradycardia is a rare and unusal cause of angina pectoris that should be considered during the evaluation of patients with agnia. This paper reports three cases ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960230619

    authors: Shaheen J,Wanderman A,Tzivoni D

    更新日期:2000-06-01 00:00:00

  • Inadvertent permanent ventricular pacing from the coronary vein: an electrocardiographic, roentgenographic, and echocardiographic assessment.

    abstract::The incidence of inadvertent permanent ventricular pacing from the coronary vein is not known. In a retrospective analysis of 69 patients in whom transvenous pacemakers were implanted between 1979 and 1986, 12 patients were discovered to have right bundle-branch block pattern to the paced complexes on electrocardiogra...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960120508

    authors: Shettigar UR,Loungani RR,Smith CA

    更新日期:1989-05-01 00:00:00

  • Comparison of auscultation with two-dimensional and Doppler echocardiography in patients with suspected mitral valve prolapse.

    abstract::Auscultation was compared to two-dimensional echocardiography (2D echo) and Doppler ultrasonography in 140 consecutive patients referred for evaluation for suspected mitral valve prolapse (MVP) to asses the precision of the two diagnostic methods. Ninety patients (64%) had midsystolic clicks, of which 42 (47%) had MVP...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960110608

    authors: Barron JT,Manrose DL,Liebson PR

    更新日期:1988-06-01 00:00:00

  • Cutting balloon angioplasty and stent implantation for aorto-ostial lesions: clinical outcome and 1-year follow-up.

    abstract:BACKGROUND:Percutaneous interventions for aorto-ostial narrowing of native coronary arteries are challenging because of early elastic recoil after the procedure and the high restenosis rate. Cutting balloon angioplasty may reduce this complication. HYPOTHESIS:The purpose of the study was to evaluate the clinical outco...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20351

    authors: Nassar H,Gotsman I,Gerganski P,Moseri M,Lotan C,Gotsman M

    更新日期:2009-04-01 00:00:00

  • Effect of cardiopulmonary bypass on cytokine network and myocardial cytokine production.

    abstract:BACKGROUND:In addition to the well-investigated proinflammatory cytokine expression, there is an ever increasing interest in the field of anti-inflammatory response to cardiopulmonary bypass (CPB). Evidence suggests that myocardium serves as an important source of cytokines during reperfusion and application of CPB. Th...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960290708

    authors: Gasz B,Lenard L,Racz B,Benko L,Borsiczky B,Cserepes B,Gal J,Jancso G,Lantos J,Ghosh S,Szabados S,Papp L,Alotti N,Roth E

    更新日期:2006-07-01 00:00:00

  • N-terminal pro-brain natriuretic peptide and short-term mortality in acute aortic dissection: A meta-analysis.

    abstract:BACKGROUND:Acute aortic dissection (AAD) is a life-threatening medical emergency that requires immediate diagnosis and rapid treatment. There is a paucity of data on the role of biomarkers in risk stratification of patients with AAD. HYPOTHESIS:N-terminal pro-brain natriuretic peptide (NT-proBNP) is associated with sh...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.23436

    authors: Vrsalovic M,Vrsalovic Presecki A,Aboyans V

    更新日期:2020-11-01 00:00:00

  • Diastolic subclinical primary alterations in Marfan syndrome and Marfan-related disorders.

    abstract:BACKGROUND:The extracellular matrix tissue of the myocardium importantly contributes to left ventricular (LV) performance. Inherited connective tissue disorders related to the FBN1 gene could involve cardiac interstitium resulting in functional abnormalities. HYPOTHESIS:To disclose a primary involvement of myocardium,...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960250905

    authors: Porciani MC,Giurlani L,Chelucci A,Pepe G,Giusti BH,Brunelli T,Attanasio M,Martinucci P,Fattrori R,Abbatea R,Gensini GF

    更新日期:2002-09-01 00:00:00